Individual
MARY HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WASHINGTON ST, ANTHONY, NM 88021-8846
(575) 882-3299
Mailing address
PO BOX 70, ANTHONY, NM 88021-0070
(575) 882-6101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
537360
TX
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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